Methods and devices for visualizing, dissecting and harvesting vessels and the like
    1.
    发明授权
    Methods and devices for visualizing, dissecting and harvesting vessels and the like 有权
    用于可视化,解剖和收获血管等的方法和装置

    公开(公告)号:US06193653B1

    公开(公告)日:2001-02-27

    申请号:US09245946

    申请日:1999-02-05

    IPC分类号: A61M1700

    CPC分类号: A61B17/00008

    摘要: A device useful in minimally-invasive procedures involving the visualization, dissection and/or harvesting of vessels in the body includes a shaft having a handle mounted on one end and a dissecting tip on the other end. The dissecting tip optionally includes a light source for directing light transverse of the tip and structures to retain the tip in position adjacent the vessel as the tip is advanced along the vessel. Also disclosed are associated methods for transilluminating a vessel, dissecting the vessel from surrounding tissue, and transecting the vessel and side branches and removing the vessel from the body.

    摘要翻译: 用于涉及在体内容器的可视化,解剖和/或收获的微创程序中的装置包括具有安装在一端的手柄和另一端的解剖尖端的轴。 解剖尖端可选地包括用于引导光的横截面的光源,并且当尖端沿着血管前进时,结构将尖端保持在与血管相邻的位置。 还公开了用于对血管进行透照,从周围组织解剖血管以及横断血管和侧枝以及从体内除去血管的相关方法。

    Method and apparatus for establishing anastomotic passageways
    2.
    发明授权
    Method and apparatus for establishing anastomotic passageways 有权
    用于建立吻合通道的方法和装置

    公开(公告)号:US6036703A

    公开(公告)日:2000-03-14

    申请号:US245513

    申请日:1999-02-05

    摘要: A system for establishing an anastomotic passageway between first and second structures within an animal, the first and second structures each having an intima-exposing opening comprises a first plate sized and configured for attachment to the opening of the first structure, the first plate including an attaching portion having means for gripping first structure at its opening, the first plate further including a coupling portion which is positioned exterior of the first structure when the first plate is attached to the first structure; a second plate sized and configured for attachment to the opening of the second structure, the second plate including an attaching portion having means for gripping the second structure at its opening, the second plate further including a coupling portion which is positioned exterior of the second structure when the second plate is attached to the second structure; and means for connecting the coupling portion of said first plate with the coupling portion of said second plate.

    摘要翻译: 一种用于在动物内建立第一和第二结构之间的吻合通道的系统,每个具有内膜暴露开口的第一和第二结构包括大小和构造成附接到第一结构的开口的第一板,第一板包括 附接部具有用于在其开口处夹持第一结构的装置,所述第一板还包括联接部,当所述第一板附接到所述第一结构时,所述联接部位于所述第一结构的外部; 第二板,其尺寸和构造用于附接到第二结构的开口,第二板包括具有用于在其开口处夹持第二结构的装置的附接部分,第二板还包括联接部分,该联接部分位于第二结构的外部 当第二板附接到第二结构时; 以及用于将所述第一板的联接部分与所述第二板的联接部分连接的装置。

    Ring applicator and method for applying elastic rings to anatomical tissue structures
    3.
    发明授权
    Ring applicator and method for applying elastic rings to anatomical tissue structures 失效
    环形施放器和用于将弹性环施加到解剖组织结构的方法

    公开(公告)号:US06547798B1

    公开(公告)日:2003-04-15

    申请号:US09563912

    申请日:2000-05-04

    IPC分类号: A61B1712

    摘要: A ring applicator for applying elastic rings to anatomical tissue during surgical procedures includes an inner member with a forceps movably disposed within a middle tubular member having a distal end configured to hold a plurality of elastic rings in an expanded state and a proximal end with a plurality of longitudinally spaced steps. The middle tubular member is movably disposed in an outer tubular member, and an adjustable stop mechanism is mounted on the proximal end of the outer tubular member to limit axial movement of the outer tubular member relative to the middle tubular member to select which rings are to be ejected. A distal handle is connected with the inner member via slots in the outer and middle tubular members, and a proximal handle is pivotally connected to the middle tubular member via a slot in the outer tubular member. A pusher has a distal end movable between a latched or locked position where the distal end of the pusher protrudes into apertures in the outer and middle tubular members to prevent pivotal movement of the proximal handle and an unlatched or unlocked position where the distal end of the pusher is disengaged from the aperture in the middle tubular member to permit pivotal movement of the proximal handle in order to move the outer tubular member axially relative to the middle tubular member to eject an elastic ring. Distal portions of the outer and middle tubular members are preferably transparent with scale markings formed thereon to allow the surgeon to accurately determine the length of the tissue disposed within the middle tubular member prior to ejecting a ring. A prerelease feature is also disclosed for unlocking the pusher to allow ejection of a ring when the forceps has not been completely withdrawn in to the middle tubular member.

    摘要翻译: 用于在外科手术过程中将弹性环施加到解剖组织的环形施加器包括内部构件,其具有可移动地设置在中间管状构件内的镊子,所述镊子具有构造成将多个弹性环保持在展开状态的远端,并且具有多个 的纵向间隔的台阶。 中间管状构件可移动地设置在外部管状构件中,并且可调止动机构安装在外部管状构件的近端上以限制外部管状构件相对于中间管状构件的轴向运动,以选择哪个环 被弹出。 远端手柄通过外管状构件和中管状构件中的狭槽与内构件连接,并且近侧手柄通过外管状构件中的狭槽枢转地连接到中管构构件。 推动器具有可在锁定或锁定位置之间移动的远端,其中推动器的远端突出到外管状构件和中间管状构件中的孔中,以防止近侧手柄的枢转运动以及未锁定或解锁位置, 推动器从中间管状构件中的孔脱离,以允许近侧手柄的枢转运动,以便相对于中间管状构件轴向移动外部管状构件以弹出弹性环。 外部和中部管状构件的远端部分优选是透明的,其上形成刻度标记,以允许外科医生在排出环之前准确地确定设置在中间管状构件内的组织的长度。 还公开了预释放特征,用于解锁推动器以允许当镊子未完全拉出到中间管状构件时弹出环。

    Apparatus and method for delivering and deploying an expandable body member in a uterine cavity
    4.
    发明授权
    Apparatus and method for delivering and deploying an expandable body member in a uterine cavity 失效
    用于在子宫腔中递送和展开可膨胀体部件的装置和方法

    公开(公告)号:US06395012B1

    公开(公告)日:2002-05-28

    申请号:US09563920

    申请日:2000-05-04

    IPC分类号: A61M1700

    摘要: An apparatus and method delivers an expandable body member into a uterine cavity of a uterus through a cervical opening and deploys the expandable body member in the uterine cavity. The expandable body member in a compressed state is inserted into the uterine cavity. A fluid is provided to the uterine cavity at a pressure sufficient to inflate the uterine cavity. The expandable body member expands from the compressed state to the expanded state. After expansion of the expandable body member and inflation of the uterine cavity, the fluid pressure is relieved thereby collapsing the uterine cavity about the expandable body member in the expanded state such that an endometrial layer of the uterus and a surface of the expandable body member substantially contact each other in a facially opposing relationship maximizing contact therebetween. The apparatus which performs the method includes an elongated tubular member having the expandable body member connected to a distal portion of the elongated tubular member and a fluid-providing device connected to a proximal portion of the elongated tubular member.

    摘要翻译: 一种装置和方法通过颈部开口将可膨胀体部件递送到子宫的子宫腔中,并将可扩张体部件展开在子宫腔中。 处于压缩状态的可膨胀体部件插入到子宫腔中。 在足以使子宫腔膨胀的压力下将液体提供给子宫腔。 可膨胀体部件从压缩状态膨胀到膨胀状态。 在扩张身体构件膨胀和子宫腔膨胀之后,释放流体压力,从而在膨胀状态下将子宫腔围绕可膨胀体部件折叠,使得子宫的子宫内膜层和可膨胀体构件的表面基本上 以面对面的关系彼此接触,使它们之间的接触最大化。 执行该方法的装置包括细长的管状构件,其具有连接到细长管状构件的远侧部分的可膨胀体构件和连接到细长管状构件的近端部分的流体供应装置。